Cerebral Infarction Following Correction of Aortic Coarctation Surgery in Children

Journal of Comprehensive Pediatrics

article

Arvin Mirshahi¹  Siavash Kafian Atary³  Hamid Reza Riasi⁴  Forod Salehi⁵ 

[1] Students’ Scientific Research Center, Tehran University of Medical Sciences;USERN CARE ,(TUMS) Office, School of Nursing and Midwifery, Tehran University of Medical Sciences;Student Research Committee, Birjand University of Medical Sciences;Faculty of Medicine, Department of Neurology, Birjand University of Medical Sciences;Department of Pediatrics, Atherosclerosis and Coronary Artery Research Center, Faculty of Medicine, Birjand University of Medical Sciences

关键词: Aortic Coarctation;    Surgical Repair;    Stroke;    Cerebral Infarction;    Children;   

DOI  :  10.5812/compreped.119717

来源: Kowsarmedical

【 摘 要 】

Background: Coarctation of the aorta (CoA) is a congenital heart defect. Due to the narrowing of the descending aorta, blood flow mainly reduces after the stenosis, and CoA can occur at any region in the thoracic and abdominal aorta. Cardiac surgeons and cardiologists are familiar with postoperative complications of CoA; however, there are also some other complications that have not been reported to date. Case Presentation: The present study investigated three cases of CoA undergoing reconstructive surgery. Nevertheless, a couple of days after the surgery, they manifested symptoms suspected of cerebral infarction. Ischemic infarction was observed after performing brain computed tomography. Additionally, we discuss possible pathophysiology and reasons that can lead to this problem. Conclusions: In this case report, we presented three cases of CoA patients who underwent reconstructive surgery and manifested cerebral infarction as an adverse effect of the reconstructive surgery.

【 授权许可】

Unknown